Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,821.00 / $4,792.00 / $10,965.00	Facility		$1,821.00	$4,792.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,635.14 / $2,153.71 / $4,349.72	Professional		$1,635.14	$2,153.71	$4,349.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,608.00 / $14,193.00	Facility		$4,568.00	$7,608.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,493.69 / $1,952.54 / $4,216.74	Professional		$1,493.69	$1,952.54	$4,216.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,531.25 / $2,531.25 / $37,499.62	Facility		$2,531.25	$2,531.25	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,531.25 / $2,531.25 / $2,531.25	Professional		$2,531.25	$2,531.25	$2,531.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,047.37 / $2,047.37 / $7,227.90	Facility		$2,047.37	$2,047.37	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,767.66 / $2,892.57 / $6,544.67	Professional		$1,767.66	$2,892.57	$6,544.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,184.43 / $14,067.90	Facility		$332.00	$3,184.43	$14,067.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,910.66 / $2,547.54 / $3,672.70	Professional		$1,910.66	$2,547.54	$3,672.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,134.91 / $1,712.57 / $3,058.13	Professional		$1,134.91	$1,712.57	$3,058.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,047.37 / $74,999.25	Facility		$555.00	$2,047.37	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,839.96 / $3,052.45 / $6,544.67	Professional		$1,839.96	$3,052.45	$6,544.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,724.14 / $2,301.39 / $5,624.82	Professional		$1,724.14	$2,301.39	$5,624.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,243.05 / $2,243.05 / $6,275.95	Facility		$2,243.05	$2,243.05	$6,275.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,134.91 / $2,559.92 / $4,481.72	Professional		$1,134.91	$2,559.92	$4,481.72